Northern Utah Gastroenterology and Endoscopy Specialists LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC

Practice address

630 E 1400 N
Logan, UT 84341-2534

Phone

(435) 787-0270

Fax

(435) 787-0262

NPI assigned

Apr 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dirk R. Davis, M.D.

Title

Medical Director

Phone

(435) 792-6105

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1629034855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E 1400 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412534",
            "telephone_number": "435-787-0270",
            "fax_number": "435-787-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412534",
            "telephone_number": "435-787-0270",
            "fax_number": "435-787-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "435-792-6105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry A Noorda, MD
• Cheryl Norr
• North Logan PDC PLLC
• Northern Utah Endoscopy Center
• Northern Utah Eye Center
• Northern Utah Pathology PC
• Northern Utah Surgery Center, LLC
• Northern Utah Surgicenter, LLC
• Northern Valley Family Medicine
• Northland Hearing Centers Inc

• Gastroenterology Physician in Logan, UT
• Providers in Logan, UT by specialty
• Gastroenterology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.